Applications are to be returned to:
Licensing Team
Public Protection
Civic Offices
Holton Road
Barry
Vale of Glamorgan
CF63 4RU
Tel: 01446 709105 /
Application for a Safety Certificate for a Regulated Stand
Part III Fire Safety and Safety of Places of Sport Act 1987
I hereby apply for a general special safety certificate in respect of the stand described below at the
sports ground, to be issued to
I make the application on behalf of / as * of *
Date
Address
Telephone number
Signed…………………………………………………………….
1. Sports ground details
Name
Street
District
Postcode
2a. Owner details.
Mr Mrs Miss Other
Full name
House no and Street
District
Postcode
2b. Occupier details (if different from above)..
Mr Mrs Miss Other
Full name
House no. and street
District
Postcode
2c. Details of any other person(s) other than the proposed holder of the certificate who to his knowledge will or may be concerned in ensuring compliance with the terms and conditions of the safety certificate for which this application is being made.
Mr Mrs Miss Other
Full name
House no and street
District
Postcode
Complete Part I only for an application for a general safety certificate (to cover activities held over an indefinite period).
Complete Part II only for an application for a special safety certificate (to cover one occasion or a series of occasions).
PART I: General Safety Certificate.
3. List activities for which the stand provides viewing accommodation and which are to be covered by the general safety certificate.
4. Give the approximate date of the construction of the stands for which application is made and details of any subsequent extension, major alteration or reconstruction of it, together with relevant dates.
5. Give particulars of current fire certificates covering any premises on any part of the sports ground.
Issuing fire authority
Name on certificate
Date of issue
Description of premises covered
5. Give particulars of any current statutory licences in respect of the sports ground or part of it.
Licensing Authority
Name of licensee
Type(e.g. liquor/gaming)
Date of expiry
Description of area licence covers
6. State maximum capacity of the accommodation in the stand for spectators to view activities at the sports ground.
Standing spectators / maximum
Seated spectators / maximum
State any restrictions on that capacity:
Standing spectators
Seated spectators
7. Is the number of spectators admitted to the stand controlled on entry to that stand?
Yes No
8. If the answer to question 7 is “ Yes”, set out below for each of the last three years (that is, ending on 31 st. December) and for each of the activities listed in answer to question 3 above (setting out the year and activity in question), the following information, namely -
(a) the highest number of spectators admitted to the stand on any occasion during each of the last three years, showing separately the number of seated and standing spectators if these figures are known: and
(b) the total number of spectators admitted during each of the last three years and the number of occasions they were admitted but excluding-
(i) any occasion when no charge was made for, or in respect of, admission: and
(ii) any occasion when the number of spectators admitted was less than 100
Year / Activity / Total attendance / Number of occasions / Highest attendance (a)seated
(b) standing
9. If the answer to question 7 is “ No”, set out below for each of the last three years (that is, ending on 31 st. December) and for each of the activities listed in answer to question 2 above (setting out the year and activity in question), the following information, namely -
(a) the highest number of spectators who had access to the stand on any occasion during each of the last three years; and
(b) the total number of spectators who had access to the stand during each of the last three years and the number of occasions they had access but excluding-
(i) any occasion when no charge was made for, or in respect of, admission to the sports ground so as to have access to the stand; and
(ii) any occasion when the number of spectators so admitted was less than 100.
Year / Activity / Total attendance / Number of occasions / Highest attendance
PART II: Special Safety Certificate
10. Name activity or activities for which the stand provides viewing accommodation and which are to be covered by the special safety certificate.
11. Give date(s) of occasions(s) when it is proposed that the stand will be used for the activity or activities listed in paragraph 10.
12. Set out below the information required in respect of each occasion during the last three years (ending on 31 st. December ) when spectators were admitted, or had access to, the stand to view activities which are the same as, or similar to, those listed in answer to question 10 above. The name and date of the occasion in question should be given together with the total number of spectators who had access to the stand.
Year / Occasion / Maximum number of spectators who had access to the stand
13. State what changes or adaptations (if any) are proposed to the stand or to arrangements for entry and control (if any) of spectators to and from the stand.

*If applying on behalf of a sports club, company or some other person, insert status (e.g. secretary)